Re: response to: Long-term skeletal and dental effects and treatment timing for functional appliances in Class II malocclusion. The Angle Orthodontist 2013(2) 334-340

Franchi, Lorenzo; Pavoni, Chiara; Faltin, Kurt; McNamara, James A.; Cozza, Paola

doi:10.2319/0003-3219-83.5.933

Cited by 4 publications

(2 citation statements)

References 2 publications

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“…[ 9 ] Others prefer to start orthodontic treatment of some malocclusions, such as Class II, at the late mixed dentition stage as a one-phase of treatment. [ 10 11 12 ] Those orthodontists advocating early treatment believe that the early correction of specific dental and skeletal discrepancies at the deciduous or early mixed dentition stages has several benefits. First, this treatment method takes advantage of normal growth to modify skeletal growth and corrects the malocclusion;[ 13 14 ] it reduces the time needed for phase II treatment and the severity of the malocclusion;[ 8 15 ] it has better and more stable results;[ 1 14 ] it improves patient self-esteem and parental satisfaction; it reduces the potential for iatrogenic tooth damage, such as trauma to susceptible incisors, root resorption, and decalcification;[ 14 ] and finally, it is associated with greater patient compliance among preadolescent children, as they tend to be more adherent to treatment instructions.…”

Section: Introductionmentioning

confidence: 99%

“…Many orthodontists reported that Class II malocclusion with or without crowding can be treated successfully in only one phase during the late mixed dentition stage at puberty. [ 12 20 21 ] In contrast, Class II malocclusion is considered the most common indication for starting early orthodontic treatment in Finland. [ 4 8 22 ] When early orthodontic treatment is contemplated, every orthodontist should ask several questions: Do the benefits of early intervention justify the extra cost, time, and energy involved in two-phase treatment, and does early treatment eliminate or reduce the need for another orthodontic treatment at a later stage?…”

Section: Introductionmentioning

confidence: 99%

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A survey of orthodontists′ perspectives on the timing of treatment: A pilot study

Al-Shayea

2014

J Orthodont Sci

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Objectives:This study aimed to outline orthodontists’ perspectives at what stage they would initiate orthodontic treatment and also sought to assess the relationship between orthodontists’ views and their genders, types of practice, and experience levels.Materials and Methods:A questionnaire was sent electronically to 165 practicing orthodontists at different regions in Saudi Arabia. The orthodontists were asked to consider at what stage they would initiate orthodontic treatment for a child with one of 29 different types of occlusal deviations, functional problems, and temporomandibular disorders (TMDs) listed in the questionnaire as their main orthodontic problem. Frequency distributions of all the variables were derived, and comparisons were made using the Chi-square tests.Results:Fifty-two electronically completed questionnaires were returned (31.5% response rate). The majority of the respondents were males (63.5%). The majority of respondents (90%) reported that they would treat most of the occlusal deviations in the mixed dentition stage. Anterior cross-bite was the most frequent indication for treatment during the early mixed dentition stage (73.7%). Conditions rated as best treated during the late mixed, or the permanent dentition stages were; overjet > 6 mm with interdental spacing, maxillary midline diastema >2 mm and deep bite >5 mm without palatal impingement. The majority of respondents (86.6%) preferred to treat most of the functional problems in the deciduous or early mixed dentition stage. Orthodontists with more than 15 years of experience preferred to treat patients with TMDs, whereas those with <15 years of experience opted to refer such patients to TMD specialists.Conclusions:The findings of the present study suggest that orthodontists should consider many factors, such as the risks, benefits, duration, and costs of early and late intervention, when deciding the best timing to begin orthodontic treatment.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A survey of orthodontists′ perspectives on the timing of treatment: A pilot study

Al-Shayea

2014

J Orthodont Sci

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Early orthodontic treatment for Class II malocclusion reduces the chance of incisal trauma: Results of a Cochrane systematic review

Thiruvenkatachari

Harrison²,

Worthington

et al. 2015

American Journal of Orthodontics and Dentofacial Orthopedics

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Volumetric measurements of mandibular incisor root resorption following Forsus FRD EZ2 and Bionator appliance treatment using cone-beam computed tomography: A preliminary study

Meriç

Zortuk

Karadede

2020

APOS

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Objectives: Root resorption is one of the frequently encountered problems in orthodontic treatments. The effects of functional appliances on root resorption have not been clearly demonstrated. The aim of this study was to compare volumetric root resorption of mandibular incisors after Bionator and Forsus appliance treatment using cone-beam computed tomography (CBCT). Materials and Methods: The study sample (n = 30) was selected from Class II div. 1 mandibular retrognathia patients treated with the Bionator and Forsus appliances. The first CBCT scans were taken before Bionator use and after 6 months. In the Forsus group, the first CBCT scans were taken before Forsus appliance use and after an overcorrected Class I relationship was obtained. The mean treatment time with the Forsus appliance was 5 ± 1.2 months. Mimics software was used for segmentation and volumetric measurements of mandibular incisor teeth root resorption. Results: In the Bionator group, statistically significant root volume loss was not found. In the Forsus group, the differences between before and after the treatment were not statistically significant for teeth 41, 31, and 32 (P > 0.05), whereas the difference was statistically significant for the lower right second incisor (P < 0.002). The percentage of volume loss (%) and root volume loss (mm3) was not statistically significant between groups. Conclusions: Following functional treatment with the Bionator and Forsus, statistically significant difference was not found between groups for mandibular incisor root resorption.

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Re: response to: Long-term skeletal and dental effects and treatment timing for functional appliances in Class II malocclusion. The Angle Orthodontist 2013(2) 334-340

Cited by 4 publications

References 2 publications

A survey of orthodontists′ perspectives on the timing of treatment: A pilot study

A survey of orthodontists′ perspectives on the timing of treatment: A pilot study

Early orthodontic treatment for Class II malocclusion reduces the chance of incisal trauma: Results of a Cochrane systematic review

Volumetric measurements of mandibular incisor root resorption following Forsus FRD EZ2 and Bionator appliance treatment using cone-beam computed tomography: A preliminary study

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